Yesterday several family members came in to see their loved one stating that they had heard through other family members that they were now being seen by Hospice. To make a long story short, the day nurse had spoken with a family member and stated that the resident's organs were shutting down and that their only option was to talk to Hospice. Number one, isn't that considered diagnosing? And number two, isn't it also considered under the same, practicing beyond scope of practice, that you never mention Hospice to a family? A doctor makes that decision and the Hospice agency then does an eval, depending upon that they request a meeting with the family! I'm sorry, but this is way out of scope of practice for a nurse, especially an LPN. (sorry for that comment) Should I go to the DON with this? I'm afraid that if the family really wanted to pursue this, the LTC facility could be in big hot water!!